Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.31 / $446.31 / $2,290.00	Facility		$446.31	$446.31	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.83 / $446.31 / $451.94	Professional		$395.83	$446.31	$451.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.04 / $1,056.46 / $1,320.57	Professional		$768.04	$1,056.46	$1,320.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $424.23 / $754.26 / $1,131.78	Facility		$424.23	$754.26	$1,131.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.58 / $852.59 / $3,371.12	Professional		$501.58	$852.59	$3,371.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $654.32 / $1,116.92 / $3,276.96	Facility		$654.32	$1,116.92	$3,276.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $995.63 / $1,233.08	Professional		$578.00	$995.63	$1,233.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $465.27 / $683.69 / $884.96	Professional		$465.27	$683.69	$884.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.58 / $809.86 / $1,259.78	Professional		$501.58	$809.86	$1,259.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $877.90 / $1,074.20 / $1,074.20	Professional		$877.90	$1,074.20	$1,074.20